NPI | 1053667014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NH 3879) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 14.009467) |
2251X0800X Physical Therapist, Orthopedic (Licence: MA 21135) | |
Enumeration Date | 2012-07-27 |
Last Update Date | 2019-10-31 |